How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | None | $346.74 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $537.03 Typical High $676.08 | Facility | None | $478.63 | $537.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $501.19 Typical High $954.99 | Professional | None | $204.17 | $501.19 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $457.09 | Facility | None | $138.04 | $194.98 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $338.84 | Professional | None | $169.82 | $208.93 | $338.84 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $173.78 | $194.98 | $194.98 |
Where Connecticut sits
The same service costs 6.9 times more in New York than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 9th of 51
$427
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.